Russ Todd Nelson is a Specialist in Texarkana, Texas. Russ Todd Nelson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Russ Todd Nelson is 1407841695. The last update date is 2007-07-08.
Russ Todd Nelson's current location address is 4303 Texas Blvd, Texarkana, Texas. You can contact this provider via phone number 9037931797 and fax number 9037932105. The mailing address for Russ Todd Nelson is 4303 Texas Blvd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russ Todd Nelson |
|---|---|
| Address | 4303 Texas Blvd, Texarkana, Texas |
| Phone Number | 9037931797 |
| Fax Number | 9037932105 |
| Sole Proprietor | X |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1407841695 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4303 Texas Blvd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755033097 |
| Phone Number | 9037931797 |
| Fax Number | 9037932105 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1090942 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1090942 | TX | TX LICENSE | |
| 99451 | AR | AR BCBS NUMBER | |
| 86940T | TX | BCBS ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Russ Todd Nelson by the Centers for Medicare & Medicaid Services?
The Russ Todd Nelson has been issued the NPI (National Provider Identifier) 1407841695, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Russ Todd Nelson located?
The Russ Todd Nelson is located at 4303 Texas Blvd, Texarkana, TX 755033097.
What is Russ Todd Nelson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russ Todd Nelson is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did the Russ Todd Nelson receive its 1407841695?
The Russ Todd Nelson was issued its 1407841695 on 2005-09-14, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Russ Todd Nelson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Russ Todd Nelson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.